Fertility Treatment Center, LLC

Primary specialty

Ambulatory Fertility FacilityTaxonomy code 261QA0006X

License

AP 2375 Issued in AZ

Legal business name

FERTILITY TREATMENT CENTER, LLC

Practice address

2155 E Conference Dr Ste 115
Tempe, AZ 85284-2604

Phone

(480) 831-2445

Fax

(480) 897-1283

NPI assigned

Jul 18, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jason B Babcock, MBA, ACRP-CP

Title

Ceo

Phone

(480) 831-2445

Specialties & licenses 1

Addresses

Tax ID family

Fertility Treatment Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Fertility Treatment Center, LLC

  • Reproductive Endocrinology Physician
  • Tempe, AZ
  • NPI 1396921367
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1821252859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 E CONFERENCE DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852842604",
            "telephone_number": "480-831-2445",
            "fax_number": "480-889-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 E CONFERENCE DR STE 115",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852842604",
            "telephone_number": "480-831-2445",
            "fax_number": "480-897-1283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERTILITY TREATMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-18",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "BABCOCK",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-831-2445",
        "authorized_official_credential": "MBA, ACRP-CP"
    },
    "taxonomies": [
        {
            "code": "261QA0006X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Fertility Facility",
            "state": "AZ",
            "license": "AP 2375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shalise Fernander
• Hermina Deepika Fernandes, MBBS, FACP
• Isabel Fernandes, LSW
• Vanessa Ferreira, ND
• Fertility Treatment Center, LLC
• Susan L Fetter, OTR
• Michelle Fettig, DPT
• Ryan Fiedler, MA
• Thomas C Fiel, D.O.
• Field Pediatric Speech Therapy PLLC

• Clinic/Center in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.